Kupweteka mutu kwambiri ndi maso? Kungakhale Tolosa-Hunt Syndrome!

Kodi mwadzidzidzi mwakhala ndi mutu waukulu komanso ululu waukulu mukasuntha maso anu? Kapena mumamva ngati simungathe kulamulira maso anu bwino? Ngati muli ndi zizindikiro ngati izi, zitha kukhala chifukwa cha matenda osowa otchedwa Tolosa-Hunt Syndrome, omwe tikambirana lero. Musadandaule, tidzakambirana chilichonse m'njira yosavuta yomwe mungamvetse.

Kodi Tolosa-Hunt Syndrome ndi chiyani?

Mwachidule, matenda a Tolosa-Hunt ndi matenda osowa kwambiri. Amayambitsa mutu wopweteka mwadzidzidzi komanso woopsa mukasuntha maso anu, kapena kulephera kusuntha maso anu. Zizindikirozi zimatha kubwera ndikupita moyo wanu wonse. Zili ngati kukhala ndi mlendo wosaitanidwa m'nyumba mwanu. Amakusokonezani tsiku lanu ndikukupangitsani kumva kuti simukusangalala. Koma mwamwayi, alendowa sabwera kawirikawiri.

Kafukufuku akusonyeza kuti chomwe chimayambitsa vutoli chikhoza kukhala kutupa kumbuyo kwa diso, komwe kumachitika chifukwa cha chitetezo cha mthupi lathu (kutupa).

Mwina munamvapo dokotala wanu akutchula matendawa ndi mayina ena. Mwachitsanzo:

• `(Ophthalmoplegia)`
• `(Ophthalmoplegia Yobwerezabwereza)` (Zikutanthauza kuti imabwereranso)
• `(Matenda a Ophthalmoplegia)`

Kaya dzina lake ndi lotani, nthawi zambiri limatanthauza chinthu chomwecho: Tolosa-Hunt syndrome.

Kodi vutoli ndi lofala bwanji?

Izi sizichitika kawirikawiri . Mukayang'ana ziwerengero padziko lonse lapansi, kafukufuku akuwonetsa kuti pafupifupi munthu m'modzi pa anthu miliyoni amakhala ndi matenda a Tolosa-Hunt. Chifukwa chake iyi si matenda omwe amakhudza aliyense.

Kodi zizindikiro za matenda a Tolosa-Hunt ndi ziti?

Zizindikiro zimenezi nthawi zambiri zimawonekera mwadzidzidzi. Zizindikiro zazikulu zomwe zingaoneke ndi izi:

• Mutu waukulu: Izi sizili ngati mutu wamba. Ululuwu umamveka pamwamba pa nkhope, makamaka mozungulira maso ('mutu wa periorbital'). Anthu ena angamve ngati ululu wakuthwa, monga kubayidwa ndi mpeni. Ena angamve ngati ululu wosasangalatsa kapena kupweteka kosasangalatsa .
• Kuona zinthu ziwiri: Mukayang'ana chinthu chimodzi, chimaoneka ngati zinthu ziwiri zosiyana. Zimakhala ngati maso onse awiri sakuyang'ana bwino. Ichi ndi chizindikiro chovutitsa kwambiri.
• Kufooka kapena kulephera kusuntha minofu yozungulira maso ndi nkhope: Zimakhala zovuta kusuntha maso, ndipo nthawi zina sangathe kutembenuzidwa kumbali imodzi. Minofu ya nkhope imathanso kukhudzidwa.
• Kutopa kosatha: Mungamve kutopa tsiku lonse, ngati kuti simungathe kuchotsa kutopako ngakhale mutagona tulo tochuluka bwanji.

Kuwonjezera pa zinthu zazikulu izi, zinthu zina zitha kuwonekanso:

• Kutuluka kwa maso (proptosis): Diso limodzi kapena onse awiri angawoneke ngati akutuluka pang'ono patsogolo.
• Kugwa kwa chikope chapamwamba (ptosis):Chikope chapamwamba cha diso limodzi kapena onse awiri sichingathe kukwezedwa bwino ndipo chingaoneke ngati chagoba.
• Kutaya masomphenya: Anthu ena amathanso kutaya masomphenya pang'ono.

Zizindikiro zimenezi nthawi zambiri zimakhudza mbali imodzi yokha ya nkhope. Zingathenso kuonekera mwadzidzidzi ndi kutha mwadzidzidzi mkati mwa masiku ochepa (kuchira mwadzidzidzi). Komabe, zimatha kubwereranso.

Kodi n’chiyani chimayambitsa matenda a Tolosa-Hunt?

Kunena zoona, sitikudziwabe chomwe chimayambitsa izi . Koma pali zinthu ziwiri zazikulu zomwe madokotala ndi ofufuza akuganiza kuti ndizotheka:

1. Kuyankha kosayenera kwa chitetezo chamthupi: Apa ndi pamene chitetezo chathu chamthupi - dongosolo lomwe limatiteteza ku matenda - limaukira molakwika minofu yathu yathanzi. Mu Tolosa-Hunt syndrome, kuukira kumeneku kumachitika m'malo awiri osavuta kumva kumbuyo kwa diso. Limodzi ndi ``Cavernous Sinus`` , malo ofanana ndi dzenje lomwe lili ndi mitsempha yofunika kwambiri ndi mitsempha yomwe imapereka magazi ku ubongo. Lina ndi ``Orbital Fissure``` , malo otseguka omwe mitsempha ndi mitsempha yamagazi yomwe imalumikizana ndi diso imadutsa. Chitetezo chathu chamthupi chimaukira madera awa, zomwe zimapangitsa kutupa kumeneko.

2. Kutupa kapena kuchepa kwa mitsempha yamagazi: Lingaliro lina ndilakuti zizindikirozi zimachitika chifukwa mitsempha yamagazi m'malo awa otchedwa ``Cavernous Sinus'' ndi ``Orbital Fissure'' imatupa ndikuchepa, zomwe zimachepetsa kuyenda kwa magazi kupita kumadera ena a ubongo ndi mitsempha yokhudzana ndi diso.

Mfundo zonsezi zikadali mu gawo lofufuza, kotero n'kovuta kunena chifukwa chenicheni.

Kodi ndi zinthu ziti zomwe zimayambitsa izi?

Zinthu zina zingawonjezere chiopsezo chotenga zizindikiro za Tolosa-Hunt syndrome. Izi zimatchedwa `triggers`. Izi zikuphatikizapo:

• Kukhala ndi kachilombo ka ma virus .
• Kuvulala koopsa kwa ubongo .
• Kukhala ndi chotupa kulikonse m'thupi, makamaka m'dera la mutu.
• Matenda monga kutukumuka kapena kuphulika kwa mtsempha wamagazi (aneurysm) .

Si aliyense amene angadwale matendawa chifukwa chakuti ali ndi zinthu zimenezi, koma chiopsezocho chikhoza kuwonjezeka pang'ono.

Kodi izi zingayambitse mavuto otani?

Nthawi zambiri, matenda a Tolosa-Hunt si matenda oopsa. Komabe, nthawi zina zoopsa, zimatha kusokoneza masomphenya anu. Izi zimachitika pamene kutupa kwa ``Cavernous Sinus'' ndi ``Orbital Fissure'' kumbuyo kwa diso kufalikira ku ``Optic Nerve'', mitsempha yayikulu yomwe imatipatsa masomphenya. Ngati izi zitachitika, kutaya masomphenya kapena mavuto ena owonera kungachitike. Chifukwa chake, ndikofunikira kufunafuna chithandizo zizindikiro zikangoyamba kuwonekera.

Kodi izi zimazindikirika bwanji?

Dokotala adzazindikira izi atamvetsera mosamala zizindikiro zanu, kukufufuzani, ndikulemba mbiri yanu yonse yazachipatala. Iyi ndi njira yovuta pang'ono, chifukwa zizindikirozi zitha kuwonekanso m'matenda ena.

Choncho, kuyezetsa magazi ndi kujambula zithunzi kumachitika kuti atsimikizire kuti munthuyo ali ndi matendawa ndikuchotsa matenda ena omwe ali ndi zizindikiro zofanana (monga chotupa cha muubongo kapena matenda). Mayeso awiri akuluakulu ojambulira zithunzi omwe amagwiritsidwa ntchito pa izi ndi awa:

• Kujambula kwa Computed Tomography (CT): Izi zimagwiritsa ntchito X-ray ndi kompyuta kuti zipange chithunzi cha magawo atatu (3D) cha minofu yofewa ndi mafupa mkati mwa thupi lanu. Izi zingathandize kufufuza zinthu monga kutupa m'dera la cavernous sinus.
• Kujambula Magnetic Resonance (MRI): Izi zimagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti zipange zithunzi zomveka bwino za mkati mwa thupi lanu, makamaka ubongo ndi madera a maso. Ndi zatsatanetsatane kuposa CT scan.

Madokotala amagwiritsa ntchito ma scan awa kuti aone makamaka kutupa m'malo omwe ali kumbuyo kwa maso otchedwa ``Cavernous Sinus`` ndi ``Orbital Fissure.`` Mayesowa amathandizanso kutsimikizira kuti palibe chifukwa china.

Kodi matenda a Tolosa-Hunt nthawi zambiri amapezeka liti?

Ngakhale kuti vutoli lingakhudze anthu azaka zilizonse, nthawi zambiri limapezeka pafupifupi zaka 40 .

Kodi izi zimachiritsidwa bwanji?

Izi zimachiritsidwa ndi mankhwala afupiafupi a `(Steroid)` . Makamaka, mankhwala a `(Corticosteroids)` amagwiritsidwa ntchito. Zimene mankhwalawa amachita ndi kuchepetsa kutupa (`kutupa`). Chifukwa, chifukwa chachikulu cha zizindikiro zanu ndi kutupa kumbuyo kwa diso.

Mukatenga mankhwala otchedwa ``Corticosteroids,'' kutupa kumachepa, kupanikizika kwa mitsempha kumachepa, ndipo zizindikiro zanu zimachepa msanga.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Inde, monga mankhwala ena aliwonse, `(Corticosteroids)` ikhoza kukhala ndi zotsatirapo zina. Chifukwa chake, muyenera kukambirana izi ndi dokotala wanu musanayambe kumwa mankhwalawa. Kenako mutha kumvetsetsa bwino za izi. Zina mwa zotsatirapo zake ndi izi:

• Kutupa kwa miyendo
• Kuwonjezeka kwa njala
• Kusintha kwa maganizo
• Kutupa kosavuta
• Kusawona bwino pang'ono

Izi sizichitika kwa aliyense, ndipo nthawi zambiri zimachepa mankhwala akangoyimitsidwa.

Kodi ndidzachira msanga bwanji nditalandira chithandizo?

Iyi ndi nkhani yabwino kwambiri. Mukatha kumwa mankhwala a steroid monga mwalangizidwira, mutha kuyamba kumva mpumulo waukulu pakapita nthawi yochepa, monga tsiku limodzi kapena atatu. Ululu umachepa, kumakhala kosavuta kusuntha maso anu, ndipo zizindikiro zosasangalatsazo zimatha pang'onopang'ono.

Tangoganizirani, ngati simulandira chithandizo, zizindikirozo zimatha zokha mkati mwa masiku 15 mpaka 20. Komabe, simukufuna kuvutika kwa nthawi yayitali. Komanso, ngakhale zizindikirozo zitatha, zitha kubwereranso mwadzidzidzi. Chifukwa chake, ndi bwino kupeza chithandizo.

Kodi izi ndi nkhani yaikulu?

Matenda a Tolosa-Hunt si matenda oopsa. Komabe, zizindikiro zikayamba, zimakhala zovuta kuchita zinthu zatsiku ndi tsiku, makamaka mutu waukulu komanso mavuto a maso.

Komabe, ndi chithandizo, zizindikiro zake zimakhala zabwino kwambiri. Popeza ma steroids amachepetsa zizindikiro mkati mwa maola 24 mpaka 72, mudzamva bwino posachedwa ndipo mudzatha kuyambiranso ntchito zanu zachizolowezi.

Kodi matenda a Tolosa-Hunt angachiritsidwe kwathunthu?

Mwatsoka, palibe mankhwala a matendawa. Chithandizo cholinga chake ndi kuchepetsa zizindikiro ndikuzichepetsa mwachangu. Zizindikiro zimatha kubwereranso, kotero chithandizo chingafunike.

Kodi izi zingapewedwe?

Pakadali pano palibe njira yodziwika yopewera matendawa. Chifukwa, monga tidakambirana kale, chomwe chimayambitsa matendawa sichikudziwikabe, n'zovuta kunena momwe tingapewere matendawa.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi zizindikiro za matenda a Tolosa-Hunt - monga mutu wopweteka mwadzidzidzi, kupweteka mozungulira maso, kuona zinthu ziwiri, komanso kuvutika kusuntha maso anu - onetsetsani kuti mwawonana ndi dokotala nthawi yomweyo. Musazengereze.

Dokotala adzakupatsani mankhwala a steroid a nthawi yochepa kuti muchiritse zizindikiro zanu. Popeza izi zimagwira ntchito mwachangu, mudzamva bwino posachedwa ndipo mutha kubwerera ku moyo wanu watsiku ndi tsiku.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso monga awa:

• Kodi matenda a Tolosa-Hunt angakhudze maso anga?
• Kodi ndiyeneradi kumwa mankhwala a steroid pa izi?
• Kodi ndimwa bwanji mankhwala a `(Steroid)`? Ndiyenera kumwa nthawi yayitali bwanji?
• Kodi zotsatirapo zake ndi ziti? Kodi ndiyenera kuchita chiyani kuti ndidziteteze ku mankhwalawa?
• Ndiyenera kuchita chiyani ngati zizindikiro zabwereranso?

Mukafunsa mafunso ngati awa, mudzamvetsa bwino matendawa komanso mankhwala ake.

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Matenda a Tolosa-Hunt ndi matenda omwe amabwera mwadzidzidzi ndipo amayambitsa zizindikiro zosasangalatsa kwambiri. Mutu waukulu ungapangitse kuti zikhale zovuta kuchita ntchito zanu za tsiku ndi tsiku. Kuwona kungakhudzidwenso. Zizindikirozi zimatha kubwera ndikupita moyo wonse.

Koma kumbukirani, izi sizikuika moyo pachiswe, ndipo pali mankhwala.Kugwiritsa ntchito mankhwala a steroid kwa kanthawi kochepa kungachepetse zizindikiro mkati mwa tsiku limodzi kapena atatu. Chifukwa chake, ngati mukaonana ndi dokotala zizindikiro zikangoyamba kuwonekera ndikupeza chithandizo, mutha kuchira mwachangu ndikuyambiranso kuchita zinthu zomwe mumakonda. Musachite mantha, lankhulani ndi dokotala wanu za chilichonse.

Matenda a Tolosa -Hunt, Mutu, Kupweteka kwa Maso, Kuona Kawiri, Ma Steroid, MRI, CT scan, Ophthalmoplegia, Cavernous Sinus